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APR-26-2005 08:42 FROM:SECOR �1RITY SITE 5592333241 TO: '0138 P.002/002 <br /> 10/14/21384 16:05 2094683433 FIFTH FLOOR PAGE 02 <br /> am LOG Nt M ER <br /> DATE RgCP.A D SAN J OAQUN COUMW <br /> R000W DD r4,NVjR0NNfpNTAL HzALTjKDEpAR <br /> 304 B Webcr AVe 3`a door Stockm CA 95205 <br /> A P R � O 7005(7-09)468.3420 FSR:(209)464.0138 Web:WWW.co rpt joaquin.ca ue;land <br /> 17;?% <br /> ENVIRONMENT HEALTH rURLTC pXCUpAB MX,ASE APPLICATION <br /> PE <br /> APPLICANT: BUSINFSSiAGENCY E� <br /> -ADDRESS Vj, 1 <br /> pflRyHl3: — — Lo tCttifAn•E: — Z-7 <br /> •i•ENTATNE"APPOINTMETM CAIS= -•-Timms vl <br /> (Pease+Illow 7o tataMess d42 thorn date of eppnwtion su{n»Ittaly <br /> CWGKBAiC To MPEDIM REQU! " AO n p - iN a BUSINESS DAYS <br /> � � <br /> SiGNATURB OF APPLICANT _ pA7E <br /> Mpamnot Use QnN <br /> FM ADDRESS uN p L <br /> ¢. 35 L� ❑ Unit 1 a� ►o5 <br /> ami 8k g}� <br /> A15� ra tf �( <br /> 450r1�r�2�U51 i � ❑ Unit2 �1 <br /> Unit a <br /> and U 91 �p <br /> it9T it az tat I'- d Untk4 <br /> u 5 r 2 Unit 6 <br /> q Calvi ,F� <br /> ENVIRONMENTAL HEALTH QEPARTM91T FiLE$ WSH <br /> a �KUPWM"M A ljouMo"ATENG su <br /> UtDMr.MnM TAW Ok" a soup <br /> waAAs�tE vFAIRCIItC.rIr <br /> rocu <br /> DAIRY <br /> Ur pxN TORMcJROVAL) 0 C Y <br /> pjW T >:'J►S WJrr PI: W <br /> v LlaVupuayswAs aENQea a tni1CKENwwa+ a i�JNAPRR•rR 09TAiml OM TOS <br /> 13 d TAITOOMW <br /> MMMWASTEFMMrPY oTf x(�BsPECal <br /> 1. List up to ton tddresses�in the,, abava t3elect the of fifes from trio list aboyt:�1Y oheekins <br /> riaf�e box(es). At Leask one f9ie R1►Pa MUST be sie[ecte4- to(209)4 .x138 t o e <br /> the appr*p <br /> add t Ind qa a e lntment far cRvfew v+rpl be confirmed <br /> 2 EHD Valli notifa►the aPPncant if afty EHD Eller a7c"iSt An appo of$ rcation- The fifes <br /> approxlmaMlX five business days but no later than ten(10)days after reoei►pt PP - <br /> wlit be held fora nnaxtmum of five'busfnoss days far review. APP°i>1�tmanfs should be scttieduted <br /> accordingly. • not IM immediately Axailabie for review. A nev <br /> 3. A Elia that is actWely being workdd on by EMD staff may . . ons <br /> appllcatiep nnay be submitted when the fila Is w0flabie. END staff at the exp <br /> 4• Any flM not returned in the same condition as released will be r�eelganited by r to mule' <br /> of the applicant Future Me revlows by the same applicant may Mqulre a$9"O'daPosit Prix <br /> $, ri EHTAT#1!E.apFointrt►ent r dates must be confirmed with EMU 9t�aff- <br /> 3:00 <br /> AppCcations recxived afteP <br /> m will be processed the nW business day <br /> 8, <br /> y .,.,,, ,• r . ;.,,.TIME '"•' ••;,;{r-:.-,�� ,tx�:. .. ' <br /> �7� _ :•y 1 •'' •` 4 1 +,lap{�I,7'� .•,'vM;'••.. FAA.''•T•''~' }!f':�`1 /11•C"..'.1'•L <br /> FtME N DATE. - <br /> '�'WI�YIfECt �• ^A'1(ES - a0 �'1'• -' <br />